James S Albertoli MD Facs LLC

James S Albertoli MD Facs LLC was paid $68K by Medicaid between Feb 2020 and Jun 2023, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 64% of everything it billed.

33Billing provider infoJAMES S ALBERTOLI MD FACS LLC
FREDERICK, MD 21702

33aNPI1083760086assigned 01/25/2007

33bProvider typePlastic Surgery Physician

28Total paid$68K

24GClaims653

24DCodes billed2

24AFirst – last monthFeb 2020 – Jun 2023

Compared with peers

Next to other Plastic Surgery Physician providers in Maryland

Rank by total paid#1 of 8

Median peer was paid$40K

This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	290	$29K
2021	248	$26K
2022	39	$5K
2023	76	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	64%	285	274	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	368	293	$25K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialALBERTOLI, JAMES (MEMBER)